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Home My WebLink About987 MODJESKA CIR - Building Permitsr (714) 754-5273 • Fax (714) 754-4856 • wv+w.d.costa-mesa.PLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 987 MODJESKACI Suile No Vicinity: Parcel Nunmber: 42205227 App�icant: JOSH KEATING Address: 30300 PUERTO VALLERTA MENIFEE, CA - � Owner. PEREZ,FRANCISCO J Address 987 MODJESKA CI � COSTA MESA,-CA. � Phone: 800-727-0977 Zip: 92530 Phone: 949.548.4082 Zip: 92627 Con�ractor: ALL STAR WATER HEATERS INC Address: 30300 PUERTO VALLERTA MENIFEE, CA CHANGE OUT WATER HEATER ISSUE FEE 8ackflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlels) Gas (Over 4 outlets) Gas Repipe . Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 Qn Phone: 800-727-0977 Zip: 92530 License: 812894 SCOPE OF PERMIT � , FEE SUMMARY "AMT LaundryTublWasher $0.00 Landscape Irrigation 50.00 P-Trap 50.00 Pressure Regulator � 50.00 Process Pipinq (per 10 ft) � 50.00 Receptors 50.00 SepticTank 50.00 Sewer Cap for Demo � 50.00 Sewer Connect ' 50.00 Sewer Private Line 50.00 Shower . 50.00 Sink, bar--- � � " � $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen 50.00 Sink, service/mop S0.00 Spa (private) - � 50.00 Spa (public) 50.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Slatus: ISSUED Applied: 04/11/2007 Issued: O4I71/2007 ISSUED BY: . SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin " ' Wash Basin Set Waste and Vent System Waler Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service ' Water Soflener OTHER VIOLATION � '� PLAN CHECK " � REINSPECTION TOTAL CALCULATED FEES: AMT so.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 $0.00 50.00 $12.30 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 535.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 C NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•28, § 7, 1241-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In ortler for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all required Inspactlona and final epproval must be obtained. Failure to obtain inspections and final approval vrill result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d48-6818/00) WORKERS' COMPENSATON DECLARA710N: � � I hereby aHirm untler penalty oi perjury one of the tollawing declarations: . ❑ I have end will melrnain a caeitiwte of consent to self-Insure for workers' compensation, es provided for by section 3700 of ihe Labor Code, tor the pertormence of the work for which this permit is issuetl. • I pave and wlll maintain workers' compensation insurance, as raquired by sectlon 3700 of the Lebor Code, for the pertormance of the work for which Ihis pertnit is Issued. workers' co pensation Insura a carrier and pollcy number ere: ^�! ' / Garnar.. � �� n ) n � �PbIfL��MRnber_ , TlD j `ii'7 � 0 S is secnan nee not be completetl i( the permit is velued af one hundred dollars ($100) or less.) � ❑ I certily ihet in t�e peAortnance of the wark tor which Ihis pertnit is iuuetl, I shall not employ eny person in eny manner so as to become subject to the workers' compensation laws oi Celifomia, and agree thet if I shoultl become sub�ect to Ihe workers' wmpensetion provislons ot Section 3700 of the Wbor Code, I s�all forthwith comply with these provisio �/ gneq5f"'�e: "^^. - �� DetetiA�. !.' �I �v � �Y�B. iiE1b5EQIRE ORKERS' COM S1T10N COVERAGE IS UNLAWFUT AND SFIALL SUBIECr rW EMPLOYER TO CiiIMINAL PENPLTIES AND CML FlNES UP TOONE HUNDRED TFIIXISPND OdlARE (E100,000), IN ADOITION TO TNE COST OF COMPENSAiION, OAMACaES AS PROVIDED FOii IN SECfION 3]OB OF THE LABOR COAE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRAC70RS DECLARATION: oi Chapter 9(commanr.ing with Section 7000) of Code, and my Ilcense Is in full CONS7RUCTION LENDING AGENCY: ❑ I hereby aHirtn that ihere Is a consiruction lending egency for the pedormance oi the work tor which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lender's AtlCress: Signatura: Date: OWNER•BUILDER DECLARATIONS: 1 hereby aflirm thet under penelry ot perjury thal I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Busineu end Professions Code: Any ciry or counry which requires e pertnit to wnsWct, elter, improve, demolish, or repair eny strucWre, pnor to its issuanca, elso requires Ihe epplicant for such pertnil ro lile a signetl stetement t�at he or she Is licensetl pureuent to t�e pmvlsions of 1he Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of ihe Business and Pmlessions Code) or that he or she is ezempt thereirom end ihe basis for the alleged exemption. Any vialatlon of Section 7031.5 by any eppllcant for e pertnit su6jects iha applicant to e civil penalry of not more than live hundred dollare (5500).): ❑ I, as owner of Ihe property, or my employees with weges es Iheir sole wmpensaiion, WILL DO 7HE WORK, end the siructure Is not intended or oftered lor sale (Sec. 7044, Business and Professions Code: The Coniractors License Law tloes not apply to en owner of property who builds or improves thereon, and who does such work himselt ar harself or through his or her own employaes, pravidetl Ihat such Improvements ere not intended or oHered tor sale. If, however, the building or improvement is sold within one year of completioq the owner-buildei wiil heve the burtlan of proving ihat ha or sha did not build or improve for purpose of sale.). ' ❑ I, as owner oi Ihe properry, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct ihe prolect (Sac. 7044, Business and Prolessions Cotle: The contractors License Law does not apply to an owner ol propeny who builds or Improves thereon, antl who contrects lor such projact with e contractor(s) license pursuent Io the Contractors License Laws.). � I em exempt untler sec. Business antl Professions Code lor this reeson: SVgnature: Date: Owner ID venfied by tlrivaYs license. ❑ Ves � No Driver's License No. Verification of Ownership by (type of dwument, i.e. - property tex bill or deedJ: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: Eapires: ❑ I hereby certlfy that no excavation live (5) or more �eet in tlept� into whlch a person is requiretl to Gescentl, wlll be made in connection wiU� work euthonzed by this pertni�, entl �hat no building sirudure, scattolding, lelsawork, or Aemolitlon or tlismantling thereoi, will be more then ihirty-six (36) feet hiqh. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Celilarnia Administrative Cotle). ❑ As owner-6ullder, I will not employ enyone to do work which woutd require e pertnit irom �he Division of Industnel Safery, as noted above, unless suc� pereon has e permit to tlo such work irom the division. Signature: Date: Division ot Industrial Sefety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF EMRV: I ceniy under penalty of perjury Ihat I have reatl Ihis application entl state that the inlormation given is cortect. I agree to comply with all state laws and ciry ordinances relating �o builtling construction, and authorize representatives of Iha Ciry of CaSta Mesa to enter upon the ebove-described property For ins0ection purposes. I agree not lo occupy or allow occupanq of eny buildinq authorizetl by t�is permit until tinal inspection. GOUE 1, INSPECTIONTYPE 161fi Fixed Sys�em Final Fire Prevention 1266 Pool Spa Finel 200 Finel fie-Roof 201 FineI8lxWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Flnel Demolition PD7E ItIIID9L3 COOE� INSPECTIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Final Electdcel 212 Finel Fire Preventlon 220 Finel Planning Appro�al 222 'FinalSite 250 Finel Building/Occupency I]\I�I;1111!.14� � � C• • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 987 MODJESKA CI Status: ISSUED Suite: Applied: 04/02/2002 Vicinity: ROOF Issued: 04/02/2002 Parcel Number: 42205227 Zoning: Applicant: BLANKS, JERRY ISSUED BY: Address: 17501 NORWOOD PARK PL . - � � � Phone: (714) 573-0155 TUSTIN,CA� , � . � ' Zip: 92780 . ' �� , Owner. CHOW; CLARK,KEELOCK TR, � �� , : � _-�'. Address ,8841 FRY CIR - ' . " \ .�� . � � � � Phone: - . � � . . � ', ' . HUNTINGTON BEACH, CA Zip: 92646-7102 � - � � , � Contractor: PREMIER ROOFING AND BUILDING CO INC �, �� , Address: 17501 NORWOOD PARK PL � �, - � � , � Phone: (714) 573-0155 � - " � . TUSTIN, CA � - Zip: � 92780 License: 634404 . , � � . Arch : ' . , . i ` � Eng: � .. � , Address: � � . �� - Addiess: - � . ',,. Phone: � � . , �, Phone: � Zip: .� License: License: � � _ SCOPE OF PERMIT _ _ ' TEAR OFF EXISTING ROOF NAIL ON 7/16 OSB BOARD AND 30�YR COMP SHINGLES �1800 SF WITH ATTACHED GARAGE. FEESUMMARY Plan Check: $0.00 Calc Valuation: Sa,sss.00 Permit: $111.25 ' " - - - � Claim Valuation: Sa,sss.00 SMIP Res: $0.50 � SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $111.75 ' � ,� (� - _,_. . � � -� PLANNING & ZONING � - � SETBACKS � � MAWSTRUCTURE Front 0-0 . Rear 0-0 Left 0-0 - Right �0-0 � ACCESSORY Front 0- 0 ' Rear 0- 0 Left 0- 0 Right .-, 0- 0 � � � �' PARKING Existinq: o Required: o Propased: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is-nol commenced within_ 180 days, or if work is suspended or abandoned for a period of 180 days. ' ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all �., required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiralion of this permil. FOR INSPECTIONS CALL: (714) 7545626 o-w �rvw� , WORKERS'COMPENSAnONDECLARATON: � � I hereby aflirtn under penalry of perjury one of the following declarations: � ❑ I heve entl will maintain e certificate of consent to self-Insure tor workers' compensation, as providetl for by section 3700 of the Labor Code, tor ihe pertormence of Ihe work for which thj�s permit is issued. �, I heve antl will maintain workers' compensation insurance, as requiretl by section 3700 of t�e Labor Code, for the pedormance of the work tor which this permit is issued. �� My workere' compensation Insurance carrier and oolicv number are: need not be POIicyNumber:��h/.�7 Zz�.:.7 / - oNess.J �:c� ❑ I certity ihe� in the peAortnance of he work for whic ,{his p iit is issued, I shall not employ eny person in any manner so as to become subjecl to ihe workers' compensation laws oi Californi �nd agree th s b ecome sub'ea b the workers' compensation provisions oi Sectlon 3700 of ihe Labor Cotle, I she0 forthwith comply with these provisions. � ApplicanYSigneture �"� Date: - �� 2� b Z �... _ �RNINGfFAILURE TO SECURE ✓ RKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HIINDRED TFK)USANDDOLLARE�5100,000). A�DITIONTOTHECOSTOFCOMPENSATIIXJ,DAMAGESASPROVIOEDFORINSECTION3]OBOFTHEIABORCODE,IfJrEREST,ANDATTORNEYSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn ihat I am licensed unQar provisions of CONS7RUC710N LENDING 9(commencing with Section 7000) ot Division 3 ot ihe Business and Protessions Code, antl my license is in full � �.: � �_ i G ❑ I hereby aNirm that ihere is a consimction lending agency for the peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender'S Name: Lander's Address: Signature: OWNER•BUILDER DECLARA710NS: Date: I hereby aHirtn Ihai under penelty of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to conswct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicant for such pertnit to tile e signetl statement that he or she is licensed pursuent to the provisions ot ihe Coniractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 ot Ihe Business and Professions Code) or that he or she is exempt iherelrom antl the �asis for the alleged exemption. Any violation of Section 7031.5 6y any epplicant for e permit sublects Ihe applicant lo a civil penalty of not more than five hundred dollars ($500).): ❑ I, es owner of Iha property, or my employees wiih wages as their sole compensa�ion, WILL DO THE WORK, antl ihe siructure is not in�entletl or oflered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law dces not apply to an owner of property who builds or improves thereon, and who does such work himseV or herself or through his or her own employees, pmvided that such improvements are not Intended or oflered for sale. tl, however, the builtling a improvement is sold within one year oi completion, ihe owner-builder will have the burden of proving that he or she did not build or improve tor purpose of sale.). ❑ I, es owner of the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consiruct fhe project (Sec. 7044, Business and Protessions Code: The coniractors License Law tloes not apply to en owner ot property who builds or improves thereon, end who coniracts for such project with e contracior(s) license pursuent to the Contracbrs License Laws.). ❑ I am exempt untler sec. Business and Professions Code tor this reason: Signe�ure: Date: Owner ID verifietl 6y tlriver'S license. ❑ Ves ❑ No Drivers License No. Verification oi Ownership by (rype ot document, i.e. - praperry tex bill or deed): OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby ceniy that no excavation five (5) or more teet in depih into which a person is required to descend, will be matle in connection with work euthonzed by ihis permit, and �hat no building sirucWre, scaHolding, talsework, or demolition or dismantling thereof, will be more ihan ihirty-siz (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit from the Oivision of Industnal Safery, as notetl above, unless such person hes a permit to do such work fmm the division. Signature: Date: Division of Industriel Safery Permit Number: CERTIFlCATE OF COMPLIANCE ANU AUTTIOpVA710N OF ENTTiV: I certify under penalry of perjury that I have read this application and state that tha infortnation given is correcl. I agree to comply with all state laws antl city ordinances relating to building consWction, and authonze representatives of ihe Ciry of Coste Mesa to anter upon ihe above-desCribed property tor inspection purposes. I agree nOt to occupy or allow occupancy of any building euthOnzed 6y Ihis permit until finel inspeclion. 7616 Fixetl System Final Fire Prevention 126fi Pool Spa Final 200 Finel Re-Roof 201 Final Block/Retaining Wall 202 � Final Factory Fire Place 203 Finel Sign 204 Final Demolition ORTE INTRIRLS L%" ' CO�EY INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy 2� /�oo�icant lo Ii11 in a11 soaces exceo< <hose witnin heavy Eortler Iines anG sign all approp�iate Eetlarations. CIrY OF COSTn ME Ao CONSTR UCTION PER IT ProjectAddresz �6 7 ��,��+�� —Q� G�^�� Applicani's Mailin Address � ✓�� --✓✓ Owner i Nam�eJ7� �0� E �� /Phone Addreu LQ_J�'� �"�� L � �� Arch/Eng. License No. Address i Convactor's Nam �� Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensetl untle� provisions of Chart¢r 9(mmmencin9 witM1 section ]000) af Divlsion 3 of the Business antl Professions Cotle, antl my license is in lull (orce ana eitect. License CIa55 Lic¢�5¢ NO. Date Signature WORKERS' COMPENSATION DECLARATION I nereby affirm that I have a certificate ot consent to selt-insure or a certificate of Worken' Compensa[ion Insurance, or a certl��etl copY tbereof (Section 3800, Lab. G.) licy No. Company Certifietl mpy I5 nereby fumishetl. J Certi/letl copy h fileG with [he city Builtling Dlylsion. Date APplicanl EXEMPTION PfiOM WORKERS' COMPENSATION DECLARATION (Thi55ecliOn neetl na[ be completetl if the pe�mit Ig for On¢ huntlretl ($100) o� I¢55). I certi/y that in the pertoimance o� the wo�k to� Whic t 5 p �t is iss� tl, I shall not employ any person in any mann r ,:'y, � co subj ' e Workers' Com sal' n aws of Calif (/ Date ��Signature - `NOTICE: If, af er ma in9 this tleclaration, you shpultl become subject to the Wo�kers' Compensation pwvisions of the Ldbo� Cotla, you must torthwitit comply with such p�ovi5ion5 0� this pe�mit shall b¢ tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm that there is a mnstruction lentlin9 a9ency tor the oerformance of lhe work lor whi[h Ihis permit is i55uetl (Section 309] Civ. C.) LRntler's Name Le�tler's Atltlress OWNER BUILDEN �ECLARATION I hereby affirm that I am exempt trom the Contractor'S License Law for the fouowina reason f5ection ]031.5 Business antl Prd{essional Cotle: Any city or s issuance, also requires trye�apvlicant fo I Illd� hE/SI1C IS IICEfI50tl bOISUdII( 20 IhC Law (Chapfer 9 (commencinq with Secti [heretrom antl the basi5 10r the all¢( 7031.5 by any applicant tor a pe �ndlty of not more than hve huntlre� " 1 as owner oi fhe property.er- ��`�'Y-^ipensation, will tlo the work, antl � sale (Section ]Oa4, Business ar Licenu law tloes not apply to an ow thereon, antl wbo tloes such work h employees, p�ovitletl [hat such imPrc sale. If, howeveq [M1e builtling or imF pletion, tbe Ownet will have the bw� p�ove tor the purpo5e of sale). ❑ I, az owner oi lhe pro0erty, am � Iractors lo conitruGt Lhe Oroject (Secl The COntracto�'S License Law tloez builtls or improves [hereon, antl wtt� tractor(5� license purSuant to the Co proot o thelr Worke�'s ComPensati ❑ 1 am exemp[ untler Section— Oate Owner _ I h¢reby certity [ha[ I have reatl�tl informatlon is correcL 1 a9ree [o or antl state laws relating to buildi sen[atives of t is ci t nt � inspettlon puro Signature Orivers' License or 55 � :ssrona wue) or mac ne�sne i eze npi etl exemptiOn. Any vlolation of Section �mit subjects the applicant to a civil . tlollars ($500). �Ws wi[h wages as [heir sole the structure is not Intentletl or offeretl tl Professlonal Cotle: The Contractor's �er ot a prape�ty who builtls o� improves mself/hersel} or through his ar her own vements ara not in[entletl or olferetl for. rovemen[ Is soltl within one year of com- en ot proving he/she tlitl not bulltl or im- xclusively contracting with li<ensetl con- �on ]044, BUsiness antl Professions Cotle: nol apply lp an owner of Oroperty who � cont�acts �o� such projects wrth a con- iVactoYS LI�enSe Law). I am aware that �n insurancp shoultl b¢ P�ovitletl to me. B. & P. C, for this reason 1 Stal¢ that Ihe above antl tounty ortlinances ier¢by autho�ize �epre- �.ntlonetl O�operty fo� Dat�b -/!� _%.� � F '_ U TVPE OF CONSTRUCTION rvE� ❑ CONVERSION ❑ DEMOLISH DESQ�iIPTION OF WORK/USbOF B TYPEbF PERMIT�aaoING LJ FOVNDAi ❑ TENANT ELECTRICAL ❑ PLUMBING ALTERATION �LJ R�PqIR RUCTURAL NICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV CONSTRVGTION TVPE VALUATION $_ ZONE GRADING CU. VDS. ACRES_ Remarks: Bar Sink Backflow Preventer Backflow Irrigation B�Lf1lU65 Clarifiers Drinking Fountains Floor Dreins Floor Sinks Gas Service Outlets Interceprors Kitchen Sink Lavamries P—Trap Roof Drains Reinspection Fee $15 Boiler Duct - Untler Grountl, oucc - sttucwra� Duct � Ventilating - Exhaust System ❑ Multiple ❑ FirepllFact. Blt. ICBO # Heating System & Ducting ❑ 0.100,000 BTU � 100,000 8T painspection fee I $15 CMF 0865�46, �ev. 10/84 White - Builtling; Canary - qpplicant; Pink - Accounting; Goltlanrotl - Assessor $hOwCI3 Service Sink Sewer Cap Sewer Connection Solar Collectors Sola� Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Trays Issue Fae Hood or Type I ❑ Canopy Typell ❑ ❑0.100,OOOBTU ❑1 System Repair/ Iterat F ire Dampers Registers Issue Fee ES $ 3 $ 3 A.P. 5k S Main Buildi E T Front B Rear A C Right K g Left Ping. Ref. # Planning Notes: Auromatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryets ❑Gas ❑Electric Fan F.A.U. Fixtures �¢�¢ BOx25 Garbage Disposal Generator �0.5 KW 2094 10/14/85 ' 2one Accessory Building: Parking Req./Provided - ELECTRICAL Transformer ❑ 75-50KW ❑ 50+ KW � Meter ❑up to 100 amps Meter ❑over 100amps Sub Panel Morors �0-i HP 01'/: - 8 Inc.Solar 09-15 HP �76-75+ Microwave Pole Light Range ; Standing Sections 5 KW Trash Compactor I�o�O T! FEES Z O N I N G R E Q M T 5 I Reinspection Fee - I$15 I I luue Fee I $ 3 I DEVELOPMENT SERVICES RE�UIREMENTS: ZoninB Approved By Date Builtling Approvad By Data Applimtion laued By Date SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ � ISSUANCE $ � PLAN CHECK 25% $ ENERG�' P.C. $ ELECTRICAL $ _�. �� GRADING $ � PLAN CHECK 50°,6 $� �/ %U MICROFILM/ �$, .��' MECHANICAL �$ ?� �% d TOTAL FEE � $ �� PLAN CHECK 25% $ �� CONSTRUCTION AND PLANNING POOL & F" • . ...,te Inspector Date Inspector APPROVALS Permit# APPROVALS Permit,r 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � . 4. Electrical�Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6� Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7. Footings � 58. Electrical Conduit-Undrgrnd. " 8. Foundation 59. Gas Pipe, O UndrgrndC, Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK 1.1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. �Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final -- 1� Rough Electrical-Conduit 66. Solar System-Final 16.'Rough Electric Wiring � 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20:' Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in�Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Fioof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Ory Standpipe 28. Lathing"& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL '� 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster`Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric p�(� Notes: /D��a�do L�r- r Gr�e�> . �.�J 34. Final�Heating & Air Conditioning � � . y� 1 35. Final Gas Pipe-Test � _ 36. Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing ' 39. Water Service-Final . . � 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer � � 43. Backflowlrrigation �- '%) '�� /7 44. Landscape Irrigation System 45. Sound Attenuation � 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING � � 48. Special Requirements Completed , i 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � , . ,G, Ciry ul (:u>ia PAi. :mninq Dr.panumn� ';'.�'!� . _ ,,�; Pbst Ulli�:c Ciuri 1c�U 77 F:iir U�ivc q�`�{��I��1fl�y�,I Costa Mesa, California 926"l6 � ��JUUW1UuU (7�n) �sc�5zn5 REQUESTFOR OCCUPANCY (Sinyle Family Residential or Condominium Units) (�f '77 AM � _<:;: <...� -3� � ,\ ��i R'�.,:`IL'�.� D CITY Cr C�STA PAESA ni e•v��n.^ rx'=PIf[�T�IlSIUT Tracc No. 9592 Date October 1, 19%� Lot No. �5 Address 987 Hodjeska Circle, Costa Mesa, Ca. The developer oi the ahove entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City oT Costa Mesa. The undersigned, by executiny this ayreement, acknowledges that (hc, she, they)�(was or wcrc) .�Gttia24. advised that this tract has not buen yiven final inspection nor has it been accepted by lhe City of Costa Mesa as haviny cornplicd with the conditions uf approval which were imposed by the City at the time the final tracc map was �pproved. Thu City assum�s no li:,bility for the enforcementof the conditions necessary for approval other than those conditions protected by surety bond. The undersigned ayroes to indemnify and hold .he City harmless from any claim resultiny in damage or personal injury to the undersiyned by reason oi the aforementioned uncompl�ted condition. II : �� ,��t.� BY D�� r A Urized � CMF OSL'J�2G 0 F �d � G. Q � � F O F Q G ...1 Q > r � � W a � � a Z 3 , _ 438b7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Complet�lyr Use Ink Onl� � ADIDRE55 LOf. 2 ract 9592•'^ OWNER J•H. Gre�orv ADDRES53187 "G" Airway Ave. TEL CITV Costa Mesa No.751-3� L�ENDER��eat Western Svgs & Loan BRANCH 8484 Wilshire Blvd wn�.ni i e�, i � o� ORENGINEER Jack Hester:' -021 ��ir., r.�, �uite2 nooRessNewnort Beanh� Ca. LONTRACTOF J.H. Gregory Constructio�. ADDRESS �ZH7 ��i�� Airway Ave• c�r� Costa Mesa No751-38�0 LIC.NO. 2VJ-7�1 LICVN@o8179 512E 3 QQ (1 • f't • I NO. OF BLOGS� OF LOT �a �toY`A OP � NOW ON LOT USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUIIDING AND WORK TO BE PERFORMED 1 huraby ecknowletlpe thet 1 heve raetl thif eppllcatlon antl stata thet the ebove Information Is eorrect antl a0ree to comply with ell lews regulatinp bulltling eonsttuetion, entl I shalt not employ any parson In violation of Me workmen's componsatlon laws of the Smta oi Colitornie. I hereby cartity that I om proparly Iican s a contrector under Ne Smto of Callfornie 8usinesa ntl Pro Iona Cotla, Divislon 3, Chnpmr 9, entl that euc� Ileen a ar I II force antl otfoet, or I am exempyNQ'q tha provisio o� nte of CelHornio Bualness ontl Profa£sions dotlo. Olulsio 3. CI( ar 9. o+ �.�� zs-,��b:°oo,a,s;f �w�z2o.co APPLICATION FOR STRUCTURAL PERMIT RECEIVED eV DATE RECEIVED nerc �ccucr A.P. NO. II� O� � �� BUILDING AODRESS Qg� / . TRACTQ i LOT 1J I BLOCK XX I I I I � OWNER J.H. Gregory VSE Single Fam Res VALUS 3517�� FIRE ZONE TVP V GROUP I&J APPROVED ��r�u_ /JGi7' 1 � VAR PO�.nO�F � I USE OF NEW BUILDING APPROVE VCE BET. BET. MAIN & 3LDCaS. ACCESS. BLDGS. W C'%G � %,f OATE 9W APPFOVED ��I�� E�� 6 ��r� � �2-� N n m i a 1406 SQ. F,. d=44g sq. ft. � THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PVRPpSE OF E5TABLISHING A PERMIT F. ONLV: � VALUATION PERMIT FEE a .DO p � PLAN CHECK E� Q o s 35, 700. oo TAX : 2 0� � TOTALPAI� S 2LO/DO